"In Florida alone, 1.6 million people have selected plans through the federal marketplace; in Texas, it's 1.2 million. The vast majority of these enrollees receive subsidies that would end after a Subsidy Shutdown, and even those with unsubsidized coverage would soon face higher premiums. As many enrollees stop paying their premiums, hospitals and doctors will go unpaid and illness will go untreated. If there is no federal solution to the Subsidy Shutdown, it will be up to governors to decide whether they are willing to take the steps necessary to establish a state marketplace and restore the subsidies."